DR. PAMELA KAY RUDD PH.D.
NPI 1164637245
Psychologist - Clinical in Burlingame, CA

Q: What is Pamela Rudd's NPI number?

The NPI number for Pamela Rudd is 1164637245. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Q: What is Pamela Rudd's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Pamela Rudd enrolled in Medicare?

No. Pamela Rudd has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Pamela Rudd was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 11, 2007Opted out of Medicare · through Jul 1, 2027

1204 BURLINGAME AVE STE 5, BURLINGAME, CA 94010(650) 348-8829 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Pamela Kay Rudd Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAMELA KAY RUDD PH.D. (NPI 1164637245) is an individual clinical provider in Burlingame, California, licensed in California (PSY6914) and active in the NPI registry since May 2007. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164637245

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PAMELA KAY RUDDCredential: PH.D.

Location Address1204 BURLINGAME AVE STE 5Burlingame, CA 94010-4139

Mailing Address1204 Burlingame Ave Ste 5Burlingame, CA 94010-4139

Phone(650) 348-8829

Sole ProprietorYes

Enumeration DateMay 11, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164637245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY6914

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1204 BURLINGAME AVE STE 5, Burlingame, CA 94010

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Pamela Kay Rudd Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DELLA FERNANDES LICENSED MFT

Marriage & Family Therapist

1204 BURLINGAME AVE STE 5
BURLINGAME, CA 94010

San Mateo County (925) 365-6968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Rudd's NPI number?

The NPI number for Pamela Rudd is 1164637245. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Pamela Rudd located?

Pamela Rudd practices at 1204 Burlingame Ave Ste 5, Burlingame, CA 94010. The listed phone number is (650) 348-8829.

What is Pamela Rudd's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Pamela Rudd enrolled in Medicare?

No. Pamela Rudd has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Pamela Rudd was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.